Jose M. Calvo - Didier Milon` _
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\~~ ~~ b~ ~ City of Miami Beach Office of the City Clerk
1~~Q _ ~`~ ~ ~F ~I'1b0 Convention Center Drive, Miami Beach, FL 33139
(` .~~ G~-~ LOBBYIST REGISTRATION FORM
`l'obbyist means all persons employed or retained, whether paid or not, by a prinripal who seeks to encourage the passage, defeat or modfication of
any ordinance, resolution, action or derision of arty commissioner; any action, derision, recmnmendation of the City Mar~ger or any city board or
committee; or any action, derision or recommendation of any rity personnel during the time period of the entire derision-making process on such
action, derision or recommendation that foreseeably will be heard or reviewed by the aly commission, or a aty board or committee. The term
specifically includes the prinripal as well as any employee engaged in lobbying aclivities. The term °Lobbylsts" has specific exclusions. Please
refer ip Ordinance Z004~3435.
CALVO JOSE M.
NAME OF LOBBYIST: (Last) (First) (M.I)
_ 44$$ ~1tAtftl£ AY£ MIAMI B£ACIi fl. S 140
BUSINESS NAME AND ADDRESS (Number and Street) (City) (State) (Zip Code)
soy-819-95so : ~$s-~2$-95ss Jos£.cALYoBS~sMAU..coM
TELEPHONE NUMBER: FAX NUMBER: EMAIL:
I. LOBBYIST RETAINED BY:
DIDI£$ MILON
NAME OF PRINCIPAUCLIENT:
1651 CL£YE3LAND ftD MIAMI B£ACI; ~l. 35140
BUSINESS NAME AND ADDRESS (Number and Street) (City) (State) (Zip Code)
505-508-19$$
TELEPHONE NUMBER: FAX NUMBER: (Optional) EMAIL: (Optional)
Fill out this section if principal is a Corporation, Partnership or Tnrst [Section 2-482 (cp
• NAME OF CHIEF OFFICER, PARTNER, OR BENEFICIARY:
• IDENTIFY ALL PERSONS HOLDING, DIRECTLY OR INDIRECTLY, A 5°i(u OR MORE OWNERSHIP INTEREST IN
SUCH CORPORATION, PARTNERSHIP OR TRUST:
iI.SPECIFIC LOBBY ISSUE:
CONDl1'IONAL USE fERMTf TO ALLOISI A WIOOD DOCK AND
To ~~toJ£CT 5r-l o• uvTO ~aIAT£1tblAY
Issue to be lobbied (Describe in detail): ~ 6 ~.~ ~~. ~'--G~ 1,
---- -- -- -- --- - ~c-.~ -- --,
iii. CITY AGENCIES/INDIVIDUALS TO BE LOBBIED,: Pursuant to Ci Code Section 2~82(g) include
a statement of the extent of any business, financial, familial, professional or other relationship, giving rise to an
appearance of an impropriety with any City personnel sought to be lobbied -further, pursuant to City Code Section 2-
482(a)(4) include a statement of any contractual relationship (paid or unpaid) from 12 months preceding said City
personnel' commencement of service with the City to the present date, stating the general nature of the subject
contractual relation.
A Full Name of Individual a B)
An Financial, Familial or Professional Relationshi
,,
/~
1
~~ IV. DISCLOSURE OF TERMS AND AMOUNTS OF LOBBYIST COMPENSATION (DISCLOSE WHETHER HOURLY, FLAT
RATE OR OTHER):
A) LOBBYIST DISCLOSURE: (Required)
$ 50.00 li'Irdt fiOUR
B) PRINCIPAL'S DISCLOSURE (OF LOBBYIST COMPENSATION): $ 50.00 t~R fiOUB
(Required).
The following information must be answered:
1) Pursuant to Miami Beach Ciry Code Section 2488 Entitled "Prohibited Campaign Contributions By Lobbyists
On Procurement Issues°:
Yes L$NO: Are you lobbying on a present or pending bid for goods, eguipment or services, or on a
present or pending award for goods. equipment or service
2) Pursuant to Miami Beach City Code 2-490 Entitled °Prohibited Campaign Contributions By Lobbyists On
Real Estate Development Issues°:
^ Yes ~ No: Are you lobbying on a pending application for a Development Agreemerrt witl~ the City or
application for change of zoning map designation or change to the City's Future Land Use
Map?
3) Pursuant to Miami Beach City Code 2-484 (h) Any person (except those exempt from the definition of
"lobbyist° as set forth in Section 2-481 above) who only appears as a representative of anot-for-profit
corporation or entity without speaal compensation r reimbursement for the appearance, whether direct, or
indirect, to express support of or opposition to an 'tem, shall register with the clerk as required by this
section but, shall not be required to pay any registra fees.
reimbursement. .
V. SIGNATURE UNDER OATH:
nu nnTners .ST r,r .-. w.. ...
PERIOD.
Signature of
I do solemnly swear that all of the
provisions contained in Section 2-~
Signature of Lobbyist:
facts are true and correct and that I have read or am familiar with the
liami BeacFyFiry Code and all reporting requirements.
Signature of PrincipallClient:
VI. LOBBYIST IDENTIFICATION:
^ Produced ID
Form of Identification
^ Personally own (Lobbyist)
VII. SIGNATU AND STAMP OF NOTARY:
State of Florida, C -
Sworn to and sub ~GQf~1CA E CASANOVA-VIDAL
This 0$ a - . MY 00iPRDISSION-# DD889487
~'~, ~ ~~ ,,~ EXPIRES June 28, 2011
Sianatur f-P' lir_ n a _ _ ~ n.r~-
Annual R~tistration fee: [ ~ ]Yes [ ] No Amount Paid
Lobbyist istration Form received and verffied by: _
F:\CLER\SALLIaFORMS\LOB13riST F~aaes~: nhH.,:cr oe..:~«.~.,
- ~ (DIDIIER MILON)
PRINCIPAL IDENTIFICATION:
~ Produced ID
~ Form of Identification
0 Per~S Wally
State of FI 'd
Swum and `
This O$
Signature o
Notarization ~
~LERK'S STAFF
Form 2010.doc
known (Principal)
9r ' ~- ,lOSEM.CALVO .
),~O~COMMISSION # DD 703995
XPIRES: August 12, 2011
~a . , Bonded Ttm: Notary PibAc Unde:wdte:s
-State of Florida
s signature
Paid
Revised
i ~
• ~-
m MIAMIBEACH
C'~ry of Miami Beach, 1700 Convention Center Drive, Miami Beach, Florida 33139, www.miamibeachfl.gov
CITY CLERK Office
Tel: 305.673.7411 ,Fax: 305.673.7254
CityClerk@miamibeachN.gov
Acknowledgement of fines/suspension from lobbying for failure to
comply with C'ty of Miami ch lobbying Lows
LOBBYIST NAME: ,-- ~ v~
I understand that no later than October 1st of each year, lobbyists subject to lobbyist,
registration requirements shall submit to the city clerk a signed statement under oath
listing all lobbying expenditures, as well as compensation received, for the preceding
calendar year with regard to the specific issue on which the lobbyist has been engaged
to lobby. A statement shall be filed even if there have been no expenditures or
compensation during the reporting period. The statement shall list, in detail, each
expenditure by category, including food and beverage, entertainment, research,
communication, media advertising, publications, travel, lodging and special events.
Failure to tim file the expenditure and fee disclosure report will result
in a fine of $5 .00 per day. Any lobbyist who fails to file the required
expenditure ~re rr by December 1, shall automatically be suspended
from lobbying ntil all fines are paid, unless 'the fine has been appealed
to the Miami; de County Commission on Ethics and Public Trust. In the
event a lobbyist ~fai~s to either file the report and/or pay the assessed fines, the Clerk shall
notify the Miami; Dade County Commission on Ethics and Public Trust.
I
In addition, once ~in issue I have registered to lobby on has been resolved, I am required
to immediately n~ ify the City Clerk's Office of lobbyist withdrawal in writing.
Signature:L
~ ~/i~
Date: